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Radiological safety atlas of minimally invasive midfoot fusion: A cadaver study.
Foot Ankle Surg
January 2025
Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA, United States.
Purpose: The popularity of minimally invasive (MIS) foot surgery continues to grow. However, it comes with certain limitations that present notable challenges. One significant hurdle is the absence of direct visualization of neurovascular structures and tendons.
View Article and Find Full Text PDFOvercoming Anatomical Challenges: Epidural Blood Patch and Plica Mediana Dorsalis Case Report.
Cureus
December 2024
Anesthesiology, South Brooklyn Health, Brooklyn, USA.
The efficacy of epidural blood patch (EBP) is highly variable, and often, clinicians are unable to identify the underlying reasons for treatment failure. A 36-year-old parturient underwent a "blind" epidural blood patch (EBP) without image guidance but failed to obtain relief from a postural headache related to the labor epidural. During the second EBP, an intact plica mediana dorsalis (PMD) was visualized in the anterior-posterior fluoroscopic view after injection of contrast, and autologous blood was injected on both sides of the PMD, leading to the complete resolution of headache symptoms.
View Article and Find Full Text PDFValidation of UniverSeg for Interventional Abdominal Angiographic Segmentation.
J Imaging Inform Med
January 2025
Department of Radiation Oncology, Henry Ford Health, Detroit, MI, USA.
Automatic segmentation of angiographic structures can aid in assessing vascular disease. While recent deep learning models promise automation, they lack validation on interventional angiographic data. This study investigates the feasibility of angiographic segmentation using in-context learning with the UniverSeg model, which is a cross-learning segmentation model that lacks inherent angiographic training.
View Article and Find Full Text PDFComparison of software-assisted and freehand methods of rotational assessment for diaphyseal tibia fractures.
Eur J Orthop Surg Traumatol
January 2025
Cedars-Sinai Medical Centre, Los Angeles, USA.
Objective: Accurate rotational reduction following tibial shaft fracture fixation is absent in up to 36% of cases yet may be critical for lower extremity biomechanics. The objective of this cadaveric study was to compare the results of freehand methods of reduction with software-assisted reduction.
Methods: Four fellowship-trained orthopaedic trauma surgeons attempted rotational correction in a cadaveric model with fluoroscopic assistance (without radiographic visualization of the fracture site) using (1) their method of choice (MoC) and (2) software assistance (SA).
To prevent cardiac tamponade caused by catheter tip slippage during the retraction of the protective sleeve in Aveir VR implantation, it is crucial to carefully evaluate not only the bulge of the protective sleeve but also the shape of the system's shaft using fluoroscopic imaging.
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